HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/10/22
Permit Number:
�CS) C' Ll l IaLL "<
L` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 203 Melton Dr. Fort Pierce
Property Tax ID #: 3403-805-0129-000-7 Lot No. 9-12
Site Plan Name: Diane & Donald Hazellief Block No. 7
Project Name: Diane & Donald Hazellief
DETAILED DESCRIPTION`' OF WORK:
Installation of 13.68kw Photovoltaic solar system, roof mounted.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
x Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 53,421.56
Sq. Ft. of First Floor:
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Donald & Diane Hazellief
Name: Gary Germanton
Address: 32 N Gillock Rd.
_
Company: AC/DC Solar LLC
City: Glasgow State: KY
Zip Code: 42141 Fax: _
Phone No. 502-802-8197 E-
Mail:_ greenherontransport@gmail.com
Address: 5001 S Florida Ave Ste 203
City: Lakeland State: FL
Zip Code: 33813 Fax:
Phone No 855-577-7999
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits@acdcsolarllc.com
_
State or County License EC13010020
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: D. Chad Godwin
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 8378 Foxtail Loop
Address:
City: State:
Zip: Phone:
City: Pensacola State: FL
Zip: 32526 Phone 941-413-0403
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendjer gt/an attorney before cQ/inmenci-rlg work or recording your Notice of Commencement.
c,-
ignature of C or- o wner Builde as applicable
ZDA
STATE OF FLO��
COUNTY OF
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this '''� day of �� 2072by
Gary Germanton
Name of person making statement.
\Personally'Kno n �^ QR Produced Identification
,
Type of I,e ifi f n Produced
(Signature o ` N ry Publi - State of Florida)
Commission No. (Seal)
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